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The Medical Mafia.pdf



If you are requesting a copy of your own medical records for yourself or to be sent to someone other than yourself, please complete the Authorization for Use or Disclosure of Health Information (PDF, 213KB).




The Medical Mafia.pdf



If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 213KB) above and mail to:


If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 106KB) and mail to:


If you are requesting a copy of your own medical records, or records to be sent to someone other than yourself, please complete the Authorization for Use or Disclosure of Health Information (PDF, 164KB).


If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 164KB) and mail to: 041b061a72


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